Individual
KENNETH MICHAEL PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. S.
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000000950458
MI
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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